Raman S. Poola M.D. Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

RAMAN S. POOLA M.D. INC

Practice address

18523 Corwin Rd
Ste H
Apple Valley, CA 92307-2338

Phone

(760) 242-3000

Fax

(760) 242-1802

NPI assigned

Jun 26, 2008

Last updated

Jun 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raman Sadasivaswamy Poola, M.D,NPI 1669493862

Title

President

Phone

(760) 242-3000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raman Sadasivaswamy Poola, M.D.

  • Specialist
  • Apple Valley, CA
  • NPI 1669493862
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1780846253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAN S. POOLA M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "POOLA",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "SADASIVASWAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.